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VOL. 6, ISSUE 2 (2024)
Habitual patellar dislocation managed with lateral release, medial release & medial plication; case report & review of literature
Authors
Kulkarni Shubham, Ghoti Santosh, Marfatiya Ankit, Jawale Sagar, Sitansu Sekhar Samantaray
Abstract
This case report describes a rare case of
habitual dislocation of the patella which was accompanied with patella alta
& medial patellar retinaculum (medial patello-femoral ligament) high grade
tear in a 9-year-old girl. She complained of habitual patellar dislocation in
the early knee flexion phase. Plain radiography and computed tomography (CT)
showed patellar malalignment, patella alta & type II trochlear dysplasia
(By Dejour classification). Surgery was performed, consisting of lateral
retinaculum release, vastus medialis obliques (VMO) advancement and
reconstruction of medial patellofemoral ligament (MPFL). There was no
recurrence of patellar instability in follow up with good clinical outcome
& knee range of motion. We conclude that our method of treatment of
habitual patellar dislocation by using lateral retinaculum release, vastus
medialis obliques (VMO) advancement and reconstruction of medial patellofemoral
ligament (MPFL) in a child of 9 years with open physis reproduced excellent
functional outcome. It is simple, cheap and does not require any fluoroscopic
guidance, solely soft tissue procedure.
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Pages:9-13
How to cite this article:
Kulkarni Shubham, Ghoti Santosh, Marfatiya Ankit, Jawale Sagar, Sitansu Sekhar Samantaray "Habitual patellar dislocation managed with lateral release, medial release & medial plication; case report & review of literature". International Journal of Orthopaedics Research, Vol 6, Issue 2, 2024, Pages 9-13
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